| NPI | 1164865622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE SCHLICHTING Owner 860-946-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist (Licence: CT 002610) | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-08-25 |